Why the study?
The study was conducted to investigate the impact of Cryo Nerve Block using the cryoICE device on post-operative pain in patients undergoing isolated CABG through left thoracotomy.
Does Cryo Nerve Block with cryoICE device reduce post-operative pain and numbness in patients undergoing isolated CABG through left thoracotomy?
Does Cryo Nerve Block with cryoICE device reduce post-operative pain and numbness in patients undergoing isolated CABG through left thoracotomy?
Cryo nerve block during left thoracotomy CABG is associated with low post-operative pain and significantly reduced in-hospital morphine use.
May reduce post-thoracotomy CABG pain and opioid use; leaves open need for randomized confirmation before practice change.
Background: To investigate the impact of Cryo Nerve Block with cryoICE™ device utilization, on post-operative pain in patients undergoing isolated coronary artery bypass grafting (CABG) through left thoracotomy. Methods: All consecutive patients undergoing isolated CABG through left thoracotomy between July 2021 and July 2022 from a single surgeon were included in the study. Patients using the cryoICE™ device for nerve block were compared for baseline demographics and pre-operative characteristics with those that did not use the cryoICE™ device. A propensity-adjusted analysis was used to compare the two groups. The primary outcome was degree of incisional pain and numbness. Results: A total of 103 patients underwent isolated CABG through left thoracotomy. After matching, the cryoICE™ device was used for nerve block in 60 patients while the control group included 43 patients. Mean follow-up was 5.7 months. The cryoICE™ device group had a mean value of incisional pain at hospital discharge was 1.5 (scale 0-10) while at follow-up was 0.69 (scale 0-10). Mean values of skin numbness at hospital discharge were 1 (scale 0-10) and 0.57 (scale 0-10) at follow-up. After univariate analysis comparison of cryoICE™ device group (60 patients) versus non-cryoICE™ device group (43 patients), the total in-hospital morphine use was 49% lower in the cryoICE™ versus the non-cryoICE™ cohort (73.8 + 79.37 mg vs 144.1 + 118.99 mg). Conclusions: Good clinical outcomes were observed in patients undergoing isolated left thoracotomy CABG with cryoICE™ utilization, including a very low incidence of post-operative pain, numbness, and hypersensitivity for all comers.
No takes yet. Share an insight, caveat, or question.
Dokollari et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: